Mauger P, Vic P, Le Guilchet T, Modruz N
Service de pédiatrie, CHI de Cornouaille, 17, avenue Yves-Thépot, 29107 Quimper cedex, France; Service d'imagerie médicale, CHI de Cornouaille, 17, avenue Yves-Thépot, 29107 Quimper cedex, France.
Service de pédiatrie, CHI de Cornouaille, 17, avenue Yves-Thépot, 29107 Quimper cedex, France.
Arch Pediatr. 2015 Apr;22(4):393-6. doi: 10.1016/j.arcped.2014.11.007. Epub 2014 Nov 15.
Testicular cancer is a rare disease in adolescents but is the leading cause of solid cancer in 15- to 30-year-old men. We report a clinical case of a 16-year-old who presented to the pediatric emergency unit with a testicular mass that had been enlarging for several months and the diagnosis turned out to be multimetastatic testicular cancer. However, early diagnosis largely determines the prognosis of this disease. A literature review enabled us to update the prognostic factors, the reasons for diagnostic delay, and current screening practices for this disease. There are currently no formal guidelines in France.
睾丸癌在青少年中是一种罕见疾病，但却是15至30岁男性实体癌的主要病因。我们报告一例临床病例，一名16岁患者因睾丸肿块数月来不断增大就诊于儿科急诊室，诊断结果为多转移睾丸癌。然而，早期诊断在很大程度上决定了这种疾病的预后。文献综述使我们能够更新该疾病的预后因素、诊断延迟的原因以及当前的筛查方法。目前法国尚无正式的指南。
